Comprehensive Obsessive-Compulsive Disorder (OCD) Treatment Guide: Evidence-Based ERP Approaches and Best Practices for Clinicians

Psychiatry & Psychotherapy Podcast

David J Puder

Science, Health & Fitness, Medicine

4.8 • 1.3K Ratings

🗓️ 6 December 2024

⏱️ 79 minutes

🔗️ Recording | iTunes | RSS

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Summary

In this episode, Dr. David Puder dives deep into the world of Obsessive-Compulsive Disorder (OCD) with renowned expert Dr. Fred Penzel, who brings over 43 years of experience to the table. Together, they explore groundbreaking approaches to treating OCD, including Exposure and Response Prevention (ERP), cognitive restructuring, and embracing uncertainty. Dr. Penzel shares fascinating insights into the neurobiology of OCD, the cycle of intrusive thoughts and compulsions, and effective strategies for lasting recovery.

Whether you're a clinician seeking best practices or someone navigating OCD, this episode offers a wealth of practical tools, compelling stories, and hope. Uncover why OCD is called the "doubting disease" and how evidence-based methods can break its grip. This is more than a podcast—it's a roadmap to understanding and overcoming one of the most challenging mental health conditions.

Transcript

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0:00.0	All right, welcome back to the podcast.
0:15.2	I am joined today with Dr. Fred Penzel.
0:18.9	He is an OCD expert who has been on my podcast before.
0:23.1	He specialized in OCD about 40 years ago.
0:27.7	I remember you telling me when a professor said it was 43, when a professor said it was too
0:33.8	hard to treat and you had this kind of gumption, you know what, I'm going to try to figure this out
0:38.9	and try to treat it. And I've appreciated corresponding with you and hearing some of your wisdom.
0:47.6	And I thought I would have you back
0:49.1	and really focus in on one specific aspect of OCD,
0:52.4	which is kind of the doubt and the need for certainty.
0:56.2	And I've had a couple of these patients
0:59.0	that it seems almost like that's the pure,
1:02.3	there's a pure aspect of it where then they almost like develop more
1:07.7	doubt about the treatment, you know, or like doubt about the doubt. So I wanted to get your take on
1:13.8	this and I'll go to dialogue. I think it's useful to note that in the 19th century, OCD was referred to as the doubting sickness or the doubting disease.
1:26.3	And I think even back then they recognized, you know, what one of the central features
1:32.3	of it was actually doubt and guilt actually are two of the main features that you see
1:40.4	in OCD.
1:41.6	But the doubt is crushing really and it can apply to anything, basically.
1:49.7	It seems for some reason, which we still don't understand, to attach itself to whatever
1:55.9	bothers a person the most, or whatever gets their attention most easily.
1:59.9	Maybe it's just that people think a lot of things and only certain things stick because they
	...

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